Individual
AMANDA J DINNEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2720 17TH AVE, CENTRAL CITY, NE 68826-9614
(308) 946-3088
Mailing address
415 S RIVER AVE, EXETER, NE 68351-4179
(402) 266-1300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
431920
NE
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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